Objectives: The authors studied nonagenarians, a rapidly growing age group
whose cognitive and physical abilities have yet to be investigated systemat
ically. All Danes born in 1905 were invited to participate in a home-based
2-hour multidimensional interview, including cognitive and physical perform
ance tests and conection of DNA, carried out by lay interviewers. Populatio
n-based registers were used to evaluate representativeness. Results: There
were 2,262 participants, A total of 1,632 (72%) gave a DNA sample. Particip
ants and nonparticipants were highly comparable with regard to marital stat
us, institutionalization, and hospitalization patterns, but men and rural a
rea residents were more likely to participate. Six months after the survey
began, 7.2% of the participants and 11.8% of the nonparticipants had died.
Discussion: Despite the known difficulties of conducting surveys among the
extremely old, it was possible to conduct a nationwide survey, including co
llection of DNA, among more than 2,000 fairly nonselected nonagenarians usi
ng lay interviewers.